Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $41.77 / $168.88	Facility		$39.65	$41.77	$168.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $41.77 / $43.30	Professional		$40.75	$41.77	$43.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.29 / $50.11 / $54.81	Facility		$44.29	$50.11	$54.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $40.84 / $50.01	Professional		$37.86	$40.84	$50.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Facility		$28.87	$28.87	$28.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.71 / $41.77 / $58.91	Facility		$31.71	$41.77	$58.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $39.00 / $39.00	Professional		$34.00	$39.00	$39.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $41.77 / $1,500.00	Professional		$41.77	$41.77	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $42.96 / $47.01	Professional		$34.45	$42.96	$47.01